License holder summary

SALLY JEAN SIDMAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SALLY JEAN SIDMAN is St Vincent Clay Hospital, 1206 E National Ave, Brazil IN 47834. This licensed professional license is current. The license was granted 12/04/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

SALLY JEAN SIDMAN
Controlled Substance Registration - Physician
License number
01042578C
Date granted
12/04/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Vincent Clay Hospital, 1206 E National Ave, Brazil IN 47834
indianalicensing.org
ID 5827843
LAST UPDATED 2024-05-13 19:35:02 UTC

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